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CHICAGO MEDICAL SCHOOL Pediatrics MPED700 SYLLABUS 2016-2017 ACADEMIC YEAR Clerkship Director Jean Kim, MD Rosalind Franklin University of Medicine and Sciences/ Chicago Medical School 3333 Green Bay Road North Chicago, IL 60064 Office Location: CLC 1.079 Office Phone: 847-578-8594 FAX: 847-775-6508 [email protected] Administrator and Clerkship Coordinator Rudine Wilbert Little Company of Mary Hospital Phone: 708-229-4242 Fax: 708-229-4241 [email protected] CLERKSHIP DESCRIPTION The pediatric clerkship is a major component of a medical student’s pediatric educational experience during medical school. It shares with other core clerkships common goals in developing competent general physicians. For some students this intensive clinical experience is their primary opportunity to learn about the health and illness issues of children. Pediatrics is a unique application of human developmental biology. Thus, clinical pediatrics focuses on the impact of disease on the developing human. The pediatrician observes and treats the child within the context of the family, community, and society. Prevention of disease, in addition to its treatment, is an essential aspect of pediatrics. Pediatricians collaborate with other health professionals to meet these goals.

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CHICAGO MEDICAL SCHOOL

Pediatrics MPED700

SYLLABUS

2016-2017 ACADEMIC YEAR

Clerkship Director Jean Kim, MD Rosalind Franklin University of Medicine and Sciences/ Chicago Medical School 3333 Green Bay Road North Chicago, IL 60064

Office Location: CLC 1.079 Office Phone: 847-578-8594

FAX: 847-775-6508 [email protected]

Administrator and Clerkship

Coordinator Rudine Wilbert

Little Company of Mary Hospital Phone: 708-229-4242 Fax: 708-229-4241

[email protected]

CLERKSHIP DESCRIPTION The pediatric clerkship is a major component of a medical student’s pediatric educational experience during medical school. It shares with other core clerkships common goals in developing competent general physicians. For some students this intensive clinical experience is their primary opportunity to learn about the health and illness issues of children. Pediatrics is a unique application of human developmental biology. Thus, clinical pediatrics focuses on the impact of disease on the developing human. The pediatrician observes and treats the child within the context of the family, community, and society. Prevention of disease, in addition to its treatment, is an essential aspect of pediatrics. Pediatricians collaborate with other health professionals to meet these goals.

The clerkship curriculum provides all students with the basic skills and knowledge necessary to care for children and their families. The emphasis is upon an understanding of normal processes, such as growth and development, health assessment and maintenance, and common problems unique to children. In addition, the pediatric clerkship is an opportunity to introduce students to the intellectually and personally fulfilling aspects of pediatrics to foster interest in pediatrics as a career choice.

During the pediatric clerkship, students have contact with general and, at some sites, subspecialty pediatricians. The clerkship emphasizes those aspects of pediatrics to be mastered by all students so that they may become competent generalists. With limited time available in the core clerkship, basic skills and common issues in both health and disease will be the focus. The CMS Pediatric Clerkship is structured in a 6-week format. As pediatrics is becoming more and more an outpatient specialty, students at every clinical site will have an extensive outpatient experience. The time spent on the inpatient service varies from site to site, with some sites having as much as 50% of the rotation spent in the inpatient settings. Faculty strive to provide the student with a continuum of care, both inpatient and outpatient, since the unique aspects of pediatric care are best taught and learned under these conditions. Because students have different learning styles, the curriculum contains a variety of educational formats, each of which emphasizes active participation by the student. Students are evaluated by a thorough assessment of knowledge as well as skills and attitudes.

CLERKSHIP OBJECTIVES

The core objectives of the pediatric clerkship are for the student to: 1. Learn the importance of growth and development and its clinical application from

birth through adolescence (physical, physiologic, and psychosocial). 2. Understand the influence of family, community, and society on the child during

health and disease. 3. Develop strategies for disease and injury prevention and health promotion. 4. Develop clinical problem solving skills for pediatric care. 5. Develop the communication skills needed to care for children, adolescents and

their families. 6. Demonstrate competency in examining children and adolescents. 7. Demonstrate the knowledge necessary for the diagnosis and initial management

of common acute and chronic illnesses. 8. Develop attitudes appropriate for clinical practice.

CLERKSHIP OBJECTIVES LINKED TO CMS COMPETENCIES AND OBJECTIVES

(see next page)

Pediatrics Clerkship Competency Map 2016-2017 I. Medical and Scientific Knowledge: Demonstrate knowledge about established and evolving biomedical, clinical,

epidemiological, and social-behavioral sciences and apply this knowledge in caring for ill and healthy patients of all ages. Specifically, the student must demonstrate:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

1.1 Describe the normal structure and function of the body.

Describe the normal structure and function of the body as it relates to the following content domains in pediatric cases/ management:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Health Maintenance, Newborn examination, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Apply human developmental biology to pediatric medicine.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.2 Distinguish the causes and underlying mechanisms of disease.

Distinguish the causes and underlying mechanisms of disease as it relates to the following content domains in pediatric cases/management:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Investigate the impact of disease on the developing human.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 1

1.3 Identify the epidemiology of common illnesses.

Identify epidemiology of common pediatric illnesses including the following domains:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Apply basic skills and knowledge to common issues in both health and disease of pediatric patients.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Required student presentations

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.4 Describe the principles and methods of diagnostic decision-making (to include clinical, laboratory, pathologic and imaging studies).

Describe the principles and methods of diagnostic decision-making in pediatric cases (to include clinical, laboratory, pathologic and imaging studies).

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

1.5 Describe the principles of therapeutic decision-making.

Describe the principles of therapeutic decision- making in pediatric cases.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 2

II. Patient Care and Prevention: Demonstrate patient centered care that is compassionate, appropriate and effective for the

promotion of health, quality of life, prevention of illness, treatment of disease, and the end of life. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

2.1 Identify factors that place individuals at risk for disease or injury and use strategies to prevent or slow the disease process.

Identify risk factors and preventive strategies for pediatric patients presenting with conditions related to the following:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Health Maintenance, Newborn examination, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection, Environmental illnesses, and congenital defects

Apply basic skills and knowledge to common issues in both health and disease of pediatric patients.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Required lecture topics/ presentations attended during clerkship.

Performance on NBME Pediatrics Shelf Examination.

Performance on USMLE Step 2CK/ CS as appropriate to pediatric domains.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

2.2 Perform reliable (comprehensive and problem focused) history and physical examinations.

Participate in the performance of a reliable history and physical exam for pediatric patients with conditions applicable to:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Health Maintenance, Newborn examination, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.3 Order and appropriately interpret the results of commonly used diagnostic

Order and appropriately interpret the results of commonly used diagnostic procedures in pediatrics rotations.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required

Pediatrics Clerkship Competency Map 2016-2017 Page 3

procedures. performance evaluation form.

Completion of all required minimum encounters.

2.4 Perform routine technical procedures.

Perform routine pediatric technical procedures.

- Newborn History and Physical, Pediatric History, Physical Examination, Preventive Care.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.5 Construct appropriate diagnostic and therapeutic strategies for patients with common acute and chronic conditions.

Construct appropriate diagnostic and therapeutic strategies for patients with common acute and chronic conditions in pediatric medicine.

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

Understand normal processes, such as growth and development, health assessment and maintenance and common problems unique to children.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Completion of all required minimum encounters.

2.6 Provide effective education to patients and their families.

Provide education and discuss the appropriate diagnosis and treatment plan with patients and their families.

Observe and treat the child within the context of the family, community, and society.

Participate in provision of anticipatory guidance on common pediatric issues.

Discuss routine immunizations

Participate in provision of asthma plans

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 4

III. Professionalism and self-awareness: Demonstrate a commitment to professional services, adherence to ethical principles, and

awareness of one’s own interests and vulnerabilities. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

3.1 Apply the theories and principles that govern ethical decision-making in medicine.

Apply the theories and principles that govern ethical decision-making in pediatric care.

Recognize and address ethical issues that arise during patient encounters.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending physician, as well as other members of the healthcare team.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

3.2 Demonstrate respect, dignity, compassion and integrity when engaging patients, their families, peers, the university community and other healthcare providers.

Demonstrate respect, dignity, compassion and integrity when engaging patients, their families, peers, the university community and other healthcare providers in the pediatrics rotations. Observe and treat the child within the context of the family, community, and society.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending physician, as well as other members of the healthcare team.

Direct observation/ evaluation by faculty completing the required performance evaluation form. Integration of professionalism into practice habits and clinical performance.

3.3 Recognize how one’s own limitations, personal biases and vulnerabilities may impact patient care and interactions with other healthcare providers.

Recognize one’s own limitations, biases, and vulnerabilities may impact care of the surgical patient and interactions with other providers on the pediatric medicine team.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty on the appropriate role of a medical student, resident, attending physician, as well as other members of the healthcare team.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 5

3.4 Seek and respond appropriately to performance feedback.

Seek and respond appropriately to performance feedback during pediatrics rotations.

Complete all mid-term and end of clerkship logging requirements. Meet with clerkship/site director or designated faculty for mid-clerkship and end of clerkship evaluation.

Direct observation/ evaluation by faculty completing the required performance evaluation form. Integration of feedback into practice habits and clinical performance.

Pediatrics Clerkship Competency Map 2016-2017 Page 6

IV. Practice-Based, Life-Long Learning: Demonstrate the ability to appraise and assimilate scientific evidence to evaluate and

improve patient care practices. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

4.1 Search for, evaluate, and apply evidence-based medicine for solving clinical problems.

Search for, evaluate, and apply evidence in the care of pediatric patients.

Understand the continuum of pediatric care, whether inpatient or outpatient.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Presentation of a clinical case with assessment or plan based on evaluation of evidence in literature search with particular emphasis on current best practices for managing common pediatric conditions and presentations.

Direct observation/ evaluation by faculty completing the required performance evaluation form for evidence-based medicine presentation.

4.2 Apply current technology to access, manage, and use biomedical information in the context of patient care.

Read and present on clinical questions that arise during patient encounters.

Assess evidence based literature and apply it to clinical problems/situations:

- Abdominal pain /Gastroenteritis, Anemia, Asthma, Behavior Disorder, Dehydration, Developmental Delay, Fever, Growth Disorder, Health Maintenance, Newborn examination, Rash, Seizure, Trauma, Upper Respiratory Infection, Urinary Tract Infection

- Asthma, Immunization, Croup, Diabetes, child Development, Newborn history and Physical, Pediatric History, Physical Examination, Preventive Care

Complete required CLIPP cases. Keep electronic log of patients seen.

Use electronic data bases for preparation of oral presentations, and electronic media during presentations.

Use of Electronic Medical Records.

Review of CLIPP case data and patient logs.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 7

4.3 Develop the ability to self-assess and demonstrate a willingness to engage in reflective practice.

Develop the ability to self-assess and demonstrate a willingness to engage in reflective practice during pediatrics rotations.

Student self-assessment at midterm evaluation.

Review of self-assessment with site director and comparison with faculty evaluation.

4.4 Provide constructive feedback to peers/ colleagues aimed at fostering professional growth and improving patient care.

Provide feedback to peers/colleagues. Students provide feedback on oral presentations of fellow students.

Direct observation/ evaluation by faculty.

Pediatrics Clerkship Competency Map 2016-2017 Page 8

V. Systems-based, Interprofessional Practice: Demonstrate and awareness of and responsiveness to the larger context of health

care and be able to call on system resources and other health care professionals to provide optimal care. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

5.1 Identify one’s own role on the healthcare team and how it is complementary to other health professionals in the delivery of patient care.

Identify one’s own role on the Pediatric primary care team and how it relates to/complements other members of the healthcare team. (PEDS)

In private setting and/or hospital each student will seek out an opportunity to work with another member of the healthcare team to identify their own role and how it complements the role of this other healthcare team member. (Ex. In office meet with nurse; In the hospital meet with Child Life Specialist.)

Submit to D2L dropbox, reflection statement indicating what the student has learned about their own professional roles and the roles of other healthcare professional regarding the Pediatric care cases being discussed.

5.2 Recognize when and how to initiate the assistance of other healthcare providers in the context of patient care.

N/A N/A N/A

5.3 Describe various healthcare practice types, delivery systems, and identify interprofessional members of these practices and how they work together to meet the needs of the community.

N/A N/A N/A

5.4 Identify systematic interprofessional practices

N/A N/A N/A

Pediatrics Clerkship Competency Map 2016-2017 Page 9

that improve patient safety, minimize error, and contribute to continuous quality improvement.

Pediatrics Clerkship Competency Map 2016-2017 Page 10

VI. Interpersonal and Communication Skills: Demonstrate effective understanding, information exchange, and teamwork with

patients, their families, peers and other health professionals. Specifically, students must:

CMS Objective

Course Objective(s)

Learning Activity/ Content

Assessment Method(s)

6.1 Demonstrate the ability to initiate and sustain professional relationships with patients, their families, and other members of the healthcare team.

Interact effectively with patients and their families.

Interact effectively with other members of the pediatric medicine teams.

Observe and treat the child within the context of the family, community, and society.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty with particular emphasis on interpersonal relationships between providers, patients and their families.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

6.2 Use effective listening, questioning, verbal, nonverbal, and writing skills when communicating with patients and their families.

Demonstrate effective communications skills when interacting with pediatric patients and their families.

Communicate effectively with other members of the healthcare team.

Provide educational materials and discuss the appropriate diagnosis and treatment plan with patients and their families.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty with particular emphasis on interpersonal relationships between providers, patients and their families.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

6.3 Prepare and organize comprehensive, timely, and legible medical records.

Prepare and organize comprehensive, timely, and legible medical records.

Write age and condition appropriate admission H&Ps and progress (SOAP) notes on inpatients, and visit notes on outpatients.

Review of notes by faculty and completion of required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 11

6.4 Use effective verbal presentation and written skills when communicating with colleagues, superiors, and other members of the healthcare team.

Use effective verbal presentation and written skills when communicating with colleagues, superiors, and other members of the pediatric medicine teams. Collaborate with other health professionals.

Participation in patient cases as defined by the Pediatrics Required Patient Encounters Document. Discussion of cases with faculty with particular emphasis on interpersonal relationships between providers, patients and their families.

Direct observation/ evaluation by faculty completing the required performance evaluation form.

Pediatrics Clerkship Competency Map 2016-2017 Page 12

EVALUATION, EXAMINATION, AND REMEDIATION POLICIES

• Students’ clinical performances are evaluated by their preceptor in each clinical setting. • Evaluations are compiled, summarized and completed then uploaded on one45 by the

Site Directors. • Evaluations are then reviewed and signed by the Clerkship Director before posting on

D2L. • Examinations: Final examinations are web-based National Board Medical Examination

(NBME) Shelf exams given at the end of the 6-week clerkship rotation.

See D2L for CMS Clerkship Grading Policy See D2L for Clinical Evaluation Standards See D2L for Teacher-Learner Expectations

CMS Clerkship Remediation Guidelines

• Reference the Required Patient Encounters document for specific patient type/clinical condition remediation guidelines. [Posted in D2L]

• Reference the CMS Clerkship Exam Failure Policy document for specific make-up/retake examination guidelines. [Posted in D2L]

• Reference the CMS Excused Absence Policy document for examination and other clinical experience remediation guidelines. [Posted in D2L]

In general, Clerkship Directors will determine how the student will make up patient encounters, clinical activities or other clerkship requirements. Clerkship Directors will determine if and when the student will be required to repeat the clerkship. Clerkship Directors will use case-by- case evaluation and coordinate with the Office of Student Affairs & Education. ATTENDANCE POLICY See D2L for Excused Absence Policy. Holiday Schedule: You must follow the holiday schedule for your site, not Chicago Medical School's schedule. Weather Emergencies: If the University is closed due to extreme weather, check with your clinical site regarding its status. Unless otherwise directed by your Site Director, you should go to your clinical site.

REQUIRED PATIENT ENCOUNTERS AND ALTERNATIVE LEARNING (see next page) If the student does not see a required patient encounter, a CLIPP case (see page 16) should be substituted in its place. A CLIPP case is available for patient encounters with the exception of “Behavior Disorder” and “Trauma.” If the student has not had a patient encounter in either of these two areas by the mid-term, he/she should bring it to the attention of the site director for a suitable alternative experience. Patient logs documenting the use of either CLIPP cases or other experiences should be listed under “alternative learning experience” on one45.

Minimum Required Patient Encounters – PEDIATRICS CLERKSHIP

Type of Patient/

Clinical Condition Clinical Setting

Level of Student Responsibility

Benchmark/Explanation Alternative

Abdominal pain/ Gastroenteritis

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Abdominal pain/ Gastroenteritis patient encounters will complete one of the related CLIPP cases 16, 22 or 27. The clerkship coordinator will review the completion of these cases.

Anemia I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Anemia patient encounters will complete one of the related CLIPP cases 27 or 30. The clerkship coordinator will review the completion of these cases.

Asthma I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Asthma patient encounters will complete related CLIPP case 13. The clerkship coordinator will review the completion of this case.

Behavior Disorder I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Behavior Disorder patient encounters will either perform an oral presentation or attend a lecture on the topic (with documented attendance). The site director will document attendance/completion of this alternative.

Dehydration I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Dehydration patient encounters will complete related CLIPP case 15. The clerkship coordinator will review the completion of this case.

Minimum Required Patient Encounters – PEDIATRICS CLERKSHIP

Developmental Delay I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in

Students unable to meet the minimum PP Developmental

developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Delay patient encounters will complete related CLIPP case 28. The clerkship coordinator will review the completion of this case.

Fever I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Fever patient encounters will complete related CLIPP case 10. The clerkship coordinator will review the completion of this case.

Growth Disorder I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Growth Disorder patient encounters will complete related CLIPP case 26. The clerkship coordinator will review the completion of this case.

Health Maintenance - Adolescent

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Health Maintenance – Adolescent patient encounters will complete one of the related CLIPP cases 5 or 6. The clerkship coordinator will review the completion of this case.

Health Maintenance - Infant

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Health Maintenance – Infant patient encounters will complete related CLIPP case 2. The clerkship coordinator will review the completion of this case.

Health Maintenance - School Age

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Health Maintenance – School Age patient encounters will complete related CLIPP case 4. The clerkship coordinator will review the completion of this case.

Minimum Required Patient Encounters – PEDIATRICS CLERKSHIP

Newborn Examination

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Newborn Examination patient encounters will complete one of the related

CLIPP cases 1 or 7. The clerkship coordinator will review the completion of these cases.

Rash I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Rash patient encounters will complete related CLIPP case 32. The clerkship coordinator will review the completion of this case.

Seizure I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Seizure patient encounters will complete related CLIPP case 19. The clerkship coordinator will review the completion of this case.

Trauma I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Trauma patient encounters will either perform an oral presentation or attend a lecture on the topic. The site director will document attendance/completion of this alternative.

Upper Respiratory Infection

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Upper Respiratory Infection patient encounters will complete related CLIPP case 12. The clerkship coordinator will review the completion of this case.

Minimum Required Patient Encounters – PEDIATRICS CLERKSHIP

Urinary Tract Infection

I, O PP Student will participate in the evaluation of the patient. Student will obtain history, perform physical, and participate in developing clinical assessment and diagnostic and therapeutic plan, along with or under the guidance of a resident or attending physician.

Students unable to meet the minimum PP Urinary Tract Infection patient encounters will complete related CLIPP case 10. The clerkship coordinator will review the completion of this case.

CLERKSHIP-SPECIFIC PERFORMANCES, PROJECTS, REQUIREMENTS: In addition to the required minimum patient encounters listed previously, the following are requirements of the clerkship.

Computer-assisted Learning in Pediatrics Program (CLIPP) Cases CLIPP's 32 interactive virtual patient cases are designed to encompass the learning objectives of the Council On Medical Student Education in Pediatrics (COMSEP) curriculum comprehensively. During the course of the clerkship, each student is required to complete any 12 cases. For the cases to be educationally meaningful, they should be done in a careful and thoughtful manner. Students who demonstrate poor level of engagement, recorded as “red” by the system will not receive credit for completion of the case. All cases must be completed by the end of the clerkship.

CLIPP cases are accessed at www.clippcases.org. Students must register with their Rosalind Franklin email address. Didactic teaching sessions Formal teaching sessions for the clerkship consist of four mandatory lectures that are given at one site. Three of these sessions are given with remote web conferencing; one lecture is in the format of interactive jeopardy for which all students are required to attend in person. One additional session is to be held at the CMS campus (pending budgetary approval) that will involve small group simulations and discussions. All of these sessions, including one review session, are an integral part of the clerkship. Attendance is mandatory; any missed sessions will require a make-up activity, to be determined by the clerkship director. History and Physical examinations (H&P)- observed and written Throughout the clerkship, students will be performing history-taking and physical examination under the supervision of the site preceptor(s). Each student is required to have a minimum of two (2) observed H&Ps with one prior to and one after the mid-term evaluation with the site director. A form is provided on D2L to help with this evaluation and should be placed in the dropbox on D2L prior to the end of the clerkship. In addition, two (2) written H&Ps must be submitted and reviewed with the site director, one prior to and one following the mid-term evaluation. These must be placed in the dropbox on D2L prior to the end of the clerkship. Evidence-based medicine presentation During the pediatrics rotation, each student is required to present one clinical case to the site director with a patient management plan that is based on a literature search for evidence to support the proposed diagnostic or treatment plan. The structure for the presentation may be variable with the focus of the activity being a careful literature search and thorough understanding of the materials presented. A form is available on D2L for the site director to use in evaluating this presentation (“Medical Student CPC Evaluation Form”). This completed form should be placed in the dropbox on D2L prior to the end of the clerkship.

Interprofessional Activity Throughout the pediatrics rotation, development of a professional relationship with other members of the healthcare team is encouraged. Specifically, during the rotation, each student is required to seek an opportunity to work with a different member of the healthcare team, e.g., child life specialist, nutritionist, or nurse, to identify how his/her role complements that of other professionals. Following this experience, the student will write a brief reflection statement about what he/she has learned about the different professional roles in the context of the pediatric case(s) in which they interacted. This written statement should be placed in the dropbox on D2L prior to the end of the clerkship.

Recommended Textbooks:

Bernstein and Shelov: Pediatrics for Medical Students, 3rd edition. LWW, 2011 ISBN-13: 978-0781770309

Case Files Pediatrics, Fourth Edition. McGraw-Hill Medical, 2012 ISBN-13: 978-0071766982

Marino, et al: Blueprints Pediatrics, 6th edition. LWW, 2013 ISBN-13: 978-1451116045

OTHER CLERKSHIP INFORMATION Recognizing that accessibility to formal teaching is somewhat limited for certain sites during this clerkship, it is recommended that students should attend local lectures given at the main hospitals if geographically feasible, i.e., if a student is at a private office close to one of the Advocate Hospitals, he/she could attend the scheduled conferences and/or lectures given by the hospital faculty, barring any schedule conflicts with his/her own site director. Attendance is not required but is encouraged.

Site Directors, Faculty, and Staff (rev.3/3/16) Faculty and Site Directors Location Office Phone Email (director/coordinator) Rabi Sulayman Department Chairman- Department of Pediatrics

Advocate Children’s Hospital (ACH) - Oak Lawn

708-684-5675

[email protected] Michelle Fifield, Administrative Assistant Michelle [email protected]

Jean O. Kim, M.D. Pediatric Clerkship Director

RFUMS/ Chicago Medical School CLC1.079

847-578-8594 [email protected] Rudine Wilbert, CMS Pediatrics Administrator/Coordinator [email protected]

Vija Bublys, M.D. Site Director

Edward Hospital 630 646-8207 [email protected]

Asit Vora, M.D. Site Director

ACH – Oak Lawn 708-684-4352 [email protected] Ellen Metzger, Administrator Assistant [email protected]

Joanne Knapik, M.D. Site Director

Centegra Health Systems

815-338-6600

[email protected] Edie Best, Office Manager [email protected]

Jeanne Lovett, M.D. Site Co-Director

ACH-Park Ridge 847-569-7896

[email protected] Marisol Hernandez-Martinez, Administrator [email protected]

Akanksha Hanna, M.D. Site Co- Director

ACH – Park Ridge 847-569-3096

[email protected] Marisol Hernandez-Martinez, Administrator

Judith Brown, M.D. Site Director

Pediatric Associates of Barrington - Fox River Grove and Crystal Lake

847-381-6700 x3965 815-459-6780

[email protected] Ms. Julie Neumann, Manager: [email protected]

Patrick Esposito, M.D. Site Director

Associates in Pediatrics

847-742-6888 [email protected] Julie Dolin, Manager [email protected]

Bennett Kaye, M.D. Site Director

Children’s Healthcare Associates

773-348-8300 [email protected]

Mark Rothschild, M.D. Site Director

Grove Pediatrics 847-465-9600 [email protected]

Brian Money, M.D. Site Director

Advocate Good Shepherd Hospital Coalition

847-842-4447

[email protected] Bonnie Boodee, Administrator [email protected]

Scott O'Donnell, M.D. and Barry Sommerfeld, M.D. Site Co-directors (Good Shepherd Coalition)

Children & Teens Medical Center

847-382-8900 [email protected] [email protected]

Jonathan Belgrad, M.D. Site Director

Southwest Pediatrics 708-361-3300 708-479-7337

[email protected] Kathy Pranske, Administrator [email protected]

Annita John, M.D. Site Director

Annita John, M.D., P.C.

773-238-1616 [email protected] Nicole Doyle, Administrator [email protected]

Hassan Alzein, M.D. Site Director

Alzein Pediatrics 708-430-7700 [email protected] Charlene Synoga, Administrator [email protected]

Gwendolyn Messer, M.D. Site Director

Children’s Research Triangle

312- 726-4011 [email protected]

Romeen Lavani, M.D. Site Director

St. Anthony Hospital 773-484-4338 [email protected] Belinda Cadena, Administrator [email protected]

Samir Suleiman, M.D. Site Director

Samir Suleiman, M.D., S.C.

708-583-1410 [email protected]

CLERKSHIP Schedule for 2016-2017

This information varies from site to site.

Pediatric Rotation Dates Academic Year 2016-2017

Start Date Final Exam Date

July 5, 2016 August 12, 2016

August 15, 2016 September 23, 2016

September 26, 2016 November 4, 2016

November 7, 2016 December 16, 2016

January 2, 2017 February 10, 2017

February 13, 2017 March 24, 2017

March 27, 2017 May 5, 2017

May 8, 2017 June 16, 2017

Contact Hours

Lecture contact hours 10 hrs

Small group contact hours 2 hrs

Other contact hours

Exam hours 2.5 hrs

Total contact hours 14.5 hrs